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Impacted wax

Earwax buildup, known as impacted earwax, occurs when earwax production exceeds the body's ability to remove it. This can be caused by conditions like swimmer's ear or ear canal injuries. Symptoms include diminished hearing, discomfort, earache, and dizziness. Diagnosis involves a health history, physical exam, and using an otoscope to look in the ear. Impacted earwax is usually treated by softening and loosening the wax with drops before removing it through irrigation or instrumentation with tools like a cerumen hook and scoop.

Health & Medicine◦
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IMPACTED EARWAX MS SAHELI C LECTURER IACN
INTRODUCTION • Ear Wax (Cerumen) is a natural protective oily substance which is produced in the outer third of the ear canal. • Its function is to remove small foreign particles, such as dust, from the canal. • This is achieved by the ciliary hairs.
DEFINITION Excess collection of thick ear wax is known as impacted wax.
ETIOLOGY Earwax build up happens when there is a formation of earwax faster than the body can remove it. This can happen with many health conditions, such as:  Bony blockage (osteoma or exostoses)  Infectious disease, such as swimmer’s ear (external otitis)  Skin disease (such as eczema)  Autoimmune disease (such as lupus)  Narrowed ear canal (from birth, chronic inflammation)  Injury.
SYMPTOMS Diminished hearing : often sudden onset after “cleaning” the ears Discomfort : complain of pain unless the wax is pressing on the drum  Tinnitus occasionally  Hearing loss  Earache  Sense of ear fullness  Itching in the ear  Dizziness  Reflex Cough : This occurs due to stimulation of auricular branch of vagus
DIAGNOSTIC EVALUATION Health history  Physical exam.  Otoscope.
MANAGEMENT Cerumenolysis.  Ear irrigation by using Syringes.  Instrumental manupulation : Removal of wax with hook and scoop.
CERUMEN HOOK AND SCOOP
Impacted wax
Impacted wax
Impacted wax
Impacted wax
Impacted wax
Impacted wax